NPIMap

Organization Active NPI

Peoplesdental, P.C.

Doing business as Avon Dental Group

  • General Practice Dentistry
  • Avon, CT
National Provider Identifier
1649813783
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEOPLESDENTAL, P.C.
Doing business as
Avon Dental Group
Practice address
20 W Avon Rd Ste 101
Avon, CT 06001-3677
Phone
(860) 673-0451
NPI assigned
Oct 22, 2019
Organization subpart
Yes
Parent organization
PEOPLESDENTAL, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leah Ann Maylott
Title
Credentialing Administrator
Phone
(860) 874-8198

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

20 W Avon Rd Ste 101
Avon, CT 06001-3677

Mailing address

20 W Avon Rd Ste 101
Avon, CT 06001-3677
Phone (860) 874-8198

Other names 1

  • Avon Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Peoplesdental PC10 organizations share this tax ID, including this one
Part of
Peoplesdental PC

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1649813783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W AVON RD STE 101",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013677",
            "telephone_number": "860-874-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W AVON RD STE 101",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013677",
            "telephone_number": "860-673-0451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLESDENTAL, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEOPLESDENTAL, P.C.",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "MAYLOTT",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
        "authorized_official_telephone_number": "860-874-8198"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avon Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.